11D0938560 CLIA NUMBER - EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION

Laboratory Demographics

  • CLIA Code: 11D0938560
  • Facility Name: EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION
  • Facility Address: 7813 SPIVEY STATION BOULEVARD SUITE 100
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 404 251-2271
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOY PATEL
  • NPI Number: 1386165504
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0938560
LAB Type Ambulatory Surgery Center
Facility Name EMORY AMBULATORY SURGERY CENTER AT SPIVEY STATION
Street 7813 SPIVEY STATION BOULEVARD SUITE 100
City JONESBORO
State GA
ZIP 30236
Phone 404 251-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Ambulatory Surgery Center
Lab Director JOY PATEL

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This page was last updated on: 9/29/2025